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Comment & Response
August 2013

Serpiginous Choroiditis Secondary to Bartonella henselae?

Author Affiliations
  • 1Northern California Retina Vitreous Associates, Mountain View, and Department of Ophthalmology, University of California, San Francisco
JAMA Ophthalmol. 2013;131(8):1102. doi:10.1001/jamaophthalmol.2013.37

To the Editor Portero et al1 describe the first reported cases of serpiginous choroiditis secondary to Francisella tularensis and Bartonella henselae. The authors should be commended for looking for alternative infectious causes of serpiginous choroiditis such as F tularensis. However, their diagnosis of B henselae is questionable. The patient developed serpiginous choroiditis and had a reactive Mantoux test (18 mm) and IgG titers of 1:128 for B henselae. The patient received antituberculosis treatment and corticosteroids. After 3 months, the patient developed choroiditis in the other eye and was then treated with moxifloxacin hydrochloride for 1 month. The diagnosis of B henselae is based on the IgG titers of 1:128 and therapeutic response to moxifloxacin.